ABSTRACT
In Japan, as a Social Security Reform measure against workforce decrease by 2040, robotic devices for nursing care and medication intake support have been utilised. However, evaluation reports about the robots and studies about their evaluation by patients are lacking. Therefore, we studied medication status with robotic assistance as well as patients’ evaluation of usability of robotic assistance. Participants were twelve patients whose median age was 73.0 (min 39.0-max 82.0), the median of number of drugs of a maximum intake day, which means the one of the week in which drugs are taken most, was 10.0 (min 4.0-max 17.0), and the median of maximum number of times to take drugs per day was 3.0 (min 1.0-max 4.0). Four were suspected of having dementia, based on the evaluation of their cognitive function tests. No patient missed any dose during the utilisation of the support device in taking medicine. All patients reported that the conditions of taking medicine and the recognition of the time to take it were improved. Therefore, the incorporation of support devices in taking medicine is expected to avoid missing to doses.
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Introduction: Worries and concerns about taking medicine, and related factors in older patients undergoing polypharmacy were investigated.Methods: Participants (N = 9) aged 65 years or older with chronic diseases who were prescribed more than six types of medicine were selected for this survey. Qualitative data obtained by semi-structured interviews were analyzed by Steps Coding and Theorization (SCAT). Components and concepts are indicated by "" and ' ', respectively.Results: Worries about taking medicine were affected by "lack of support from medical staff providing polypharmacy", and by "negative experiences and lack of understanding about medicine". "Behaviors for coping with worries", which were composed of "self-control in taking medicine" and "asking advice from the prescribing physician", dispelled worries. Participants that had never been worried had "received adequate support from staff involved in polypharmacy" and had "positive attitudes about polypharmacy".Conclusion: Worries about taking medicine among older patients undergoing polypharmacy were solved through self-control. Moreover, medical staff involved in polypharmacy should conduct activities to initiate communication with such patients.
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<p><b>Introduction: </b>To understand the current status of and problems with drug administration support (DAS) for elderly people living in communities, we reviewed the original DAS articles for all healthcare professions.</p><p><b>Methods: </b>We extracted and reviewed original articles published for 15 years from January 2000 in CiNii articles and "Igaku Chuo Zasshi". Key words were as follows: "elderly," "housebound," and "compliance management OR compliance guidance", based on the thesaurus in each database. The extracted articles were reviewed for content.</p><p><b>Result: </b>In all, 34 articles were extracted. The individuals involved in DAS were family members, neighbors, home helpers, nurses, physicians, pharmacists, and devices for compliance support. Care managers were not included as support. The current status of DAS extracted by content analysis was "compliance assistance", "compliance management", and "coordination arrangement". Problems with DAS were "information sharing and inter-professional collaboration", "appropriate prescription plans for abilities and lifestyles of the elderly", and "establishing support for taking medicine".</p><p><b>Conclusion: </b>We found that sharing information and inter-professional collaboration are needed to support drug administration for community-living elderly people in Japan.</p>
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Objective:To evaluate the effect to treatment adherence of defaulter action implement for patients with Tuberculosis in Chongqing and explore a proper cure management system to timely find out the TB patients who stop picking medicine on time;Methods:Carrying out intervention method to TB patients with positive sputum in intervention counties,then using qualitative study to analysis the effect of implementing the intervention;Results:After the intervention,the adherence of TB patients is obviously improved;Conclusion:Proposed method is a effective and feasible management to the TB patients who stop picking medicine during anti-TB treatment,which bring positive effect on TB patients' adherence and TB cure rate.
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Objective:To investigate outpatient's medicine knowledge and satisfaction degree and analyze their correlation.Method:150 outpatients,their doctors and pharmacists were investigated with a fieldwork method.Patients' medical knowledge and satisfaction degree were measured with a quantitative scale table,and their correlation was calculat- ed with a linear regression method.Result:Almost all the doctors and pharmacists could provide their patients with their guidance about medicines,which focused on drug dosage and taking ways.Fewer than 20% patients could take medical ad- vice of potential risks and notice of taking medicine.A significant correlation was shown between patient's medical knowl- edge and satisfaction degree(r=0.76).Conclusion:More guidance from doctors and pharmacists should be provided for outpatients.The medical knowledge learned by patients could influence patient's satisfaction degree significantly.